| NPI | 1942608757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI PATEL President 317-364-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014601) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-01-17 |